ATI Fundamentals
ATI Fundamentals Practice Questions &
Answers with Detailed Rationale 2026 |
RN Exam 2 Prep & Verified Answers |
Nursing Study Guide PDF
Which action is most important for the nurse to implement when donning sterile gloves?
A. Maintain thumb at a ninety degree angle.
B. Hold hands with fingers down while gloving.
C. Keep gloved hands above the elbows.
D. Put the glove on the dominant hand first
A+ TEST BANK 1
, ATI Fundamentals
- Gloved hands held below waist level are considered unsterile (C). (A and B) are not
essential to maintaining asepsis. While it may be helpful to put the glove on the dominant
hand first, it is not necessary to ensure asepsis (D). Correct Answer: C
A client's infusion of normal saline infiltrated earlier today, and approximately 500 ml of saline
infused into the subcutaneous tissue. The client is now complaining of excruciating arm pain
and demanding "stronger pain medications." What initial action is most important for the
nurse to take?
A. Ask about any past history of drug abuse or addiction.
B. Measure the pulse volume and capillary refill distal to the infiltration.
C. Compress the infiltrated tissue to measure the degree of edema.
D. Evaluate the extent of ecchymosis over the forearm area
- Pain and diminished pulse volume (B) are signs of compartment syndrome, which can
progress to complete loss of the peripheral pulse in the extremity. Compartment syndrome
occurs when external pressure (usually from a cast), or internal pressure (usually from
subcutaneous infused fluid), exceeds capillary perfusion pressure resulting in decreased blood
flow to the extremity. (A) should not be pursued until physical causes of the pain are ruled
out. (C)is of less priority than determining the effects of the edema on circulation and nerve
function. Further assessment of the client's ecchymosis can be delayed until the signs of
edema and compression that suggest compartment syndrome have been examined (D).
Correct Answer: B
An elderly male client who is unresponsive following a cerebral vascular accident (CVA) is
receiving bolus enteral feedings though a gastrostomy tube. What is the best client position
for administration of the bolus tube feedings?
A. Prone.
B. Fowler's.
C. Sims'.
D. Supine
A+ TEST BANK 2
, ATI Fundamentals
- The client should be positioned in a semi-sitting (Fowler's) (B) position during feeding to
decrease the occurrence of aspiration. A gastrostomy tube, known as a PEG tube, due to
placement by a percutaneous endoscopic gastrostomy procedure, is inserted directly into the
stomach through an incision in the abdomen for long-term administration of nutrition and
hydration in the debilitated client. In (A and/or C), the client is placed on the abdomen, an
unsafe position for feeding. Placing the client in (D) increases the risk of aspiration.
Correct Answer: B
A 73-year-old female client had a hemiarthroplasty of the left hip yesterday due to a fracture
resulting from a fall. In reviewing hip precautions with the client, which instruction should the
nurse include in this client's teaching plan?
A. In 8 weeks you will be able to bend at the waist to reach items on the floor.
B. Place a pillow between your knees while lying in bed to prevent hip dislocation.
C. It is safe to use a walker to get out of bed, but you need assistance when walking.
D. Take pain medication 30 minutes after your physical therapy sessions.
- The client's affected hip joint following a hemiarthroplasty (partial hip replacement) is at
risk of dislocation for 6 months to a year following the procedure. Hip precautions to prevent
dislocation include placing a pillow between the knees to maintain abduction of the hips (B).
Clients should be instructed to avoid bending at the waist (A), to seek assistance for both
standing and walking until they are stable on a walker or cane (C), and to take pain
medication 20 to 30 minutes prior to physical therapy sessions, rather than waiting until the
pain level is high after their therapy. Correct Answer: B
A client with pneumonia has a decrease in oxygen saturation from 94% to 88% while
ambulating. Based on these findings, which intervention should the nurse implement first?
A. Assist the ambulating client back to the bed.
B. Encourage the client to ambulate to resolve pneumonia.
C. Obtain a prescription for portable oxygen while ambulating.
D. Move the oximetry probe from the finger to the earlobe
A+ TEST BANK 3
, ATI Fundamentals
- An oxygen saturation below 90% indicates inadequate oxygenation. First, the client
should be assisted to return to bed (A) to minimize oxygen demands. Ambulation increases
aeration of the lungs to prevent pooling of respiratory secretions, but the client's activity at
this time is depleting oxygen saturation of the blood, so (B) is contraindicated. Increased
activity increases respiratory effort, and oxygen may be necessary to continue ambulation (C),
but first the client should return to bed to rest. Oxygen saturation levels at different sites
should be evaluated after the client returns to bed (D).
Correct Answer: A
A client with chronic renal failure selects a scrambled egg for his breakfast. What action
should the nurse take?
A. Commend the client for selecting a high biologic value protein.
B. Remind the client that protein in the diet should be avoided.
C. Suggest that the client also select orange juice, to promote absorption. D. Encourage the
client to attend classes on dietary management of CRF.
- Foods such as eggs and milk (A) are high biologic proteins which are allowed because
they are complete proteins and supply the essential amino acids that are necessary for
growth and cell repair. Although a low-protein diet is followed (B), some protein is essential.
Orange juice is rich in potassium, and should not be encouraged (C). The client has made a
good diet choice, so (D) is not necessary. Correct Answer: A
A client who is 5' 5" tall and weighs 200 pounds is scheduled for surgery the next day. What
question is most important for the nurse to include during the preoperative assessment?
A. What is your daily calorie consumption?
B. What vitamin and mineral supplements do you take?
C. Do you feel that you are overweight? D. Will a clear liquid diet be okay after surgery?
A+ TEST BANK 4
ATI Fundamentals Practice Questions &
Answers with Detailed Rationale 2026 |
RN Exam 2 Prep & Verified Answers |
Nursing Study Guide PDF
Which action is most important for the nurse to implement when donning sterile gloves?
A. Maintain thumb at a ninety degree angle.
B. Hold hands with fingers down while gloving.
C. Keep gloved hands above the elbows.
D. Put the glove on the dominant hand first
A+ TEST BANK 1
, ATI Fundamentals
- Gloved hands held below waist level are considered unsterile (C). (A and B) are not
essential to maintaining asepsis. While it may be helpful to put the glove on the dominant
hand first, it is not necessary to ensure asepsis (D). Correct Answer: C
A client's infusion of normal saline infiltrated earlier today, and approximately 500 ml of saline
infused into the subcutaneous tissue. The client is now complaining of excruciating arm pain
and demanding "stronger pain medications." What initial action is most important for the
nurse to take?
A. Ask about any past history of drug abuse or addiction.
B. Measure the pulse volume and capillary refill distal to the infiltration.
C. Compress the infiltrated tissue to measure the degree of edema.
D. Evaluate the extent of ecchymosis over the forearm area
- Pain and diminished pulse volume (B) are signs of compartment syndrome, which can
progress to complete loss of the peripheral pulse in the extremity. Compartment syndrome
occurs when external pressure (usually from a cast), or internal pressure (usually from
subcutaneous infused fluid), exceeds capillary perfusion pressure resulting in decreased blood
flow to the extremity. (A) should not be pursued until physical causes of the pain are ruled
out. (C)is of less priority than determining the effects of the edema on circulation and nerve
function. Further assessment of the client's ecchymosis can be delayed until the signs of
edema and compression that suggest compartment syndrome have been examined (D).
Correct Answer: B
An elderly male client who is unresponsive following a cerebral vascular accident (CVA) is
receiving bolus enteral feedings though a gastrostomy tube. What is the best client position
for administration of the bolus tube feedings?
A. Prone.
B. Fowler's.
C. Sims'.
D. Supine
A+ TEST BANK 2
, ATI Fundamentals
- The client should be positioned in a semi-sitting (Fowler's) (B) position during feeding to
decrease the occurrence of aspiration. A gastrostomy tube, known as a PEG tube, due to
placement by a percutaneous endoscopic gastrostomy procedure, is inserted directly into the
stomach through an incision in the abdomen for long-term administration of nutrition and
hydration in the debilitated client. In (A and/or C), the client is placed on the abdomen, an
unsafe position for feeding. Placing the client in (D) increases the risk of aspiration.
Correct Answer: B
A 73-year-old female client had a hemiarthroplasty of the left hip yesterday due to a fracture
resulting from a fall. In reviewing hip precautions with the client, which instruction should the
nurse include in this client's teaching plan?
A. In 8 weeks you will be able to bend at the waist to reach items on the floor.
B. Place a pillow between your knees while lying in bed to prevent hip dislocation.
C. It is safe to use a walker to get out of bed, but you need assistance when walking.
D. Take pain medication 30 minutes after your physical therapy sessions.
- The client's affected hip joint following a hemiarthroplasty (partial hip replacement) is at
risk of dislocation for 6 months to a year following the procedure. Hip precautions to prevent
dislocation include placing a pillow between the knees to maintain abduction of the hips (B).
Clients should be instructed to avoid bending at the waist (A), to seek assistance for both
standing and walking until they are stable on a walker or cane (C), and to take pain
medication 20 to 30 minutes prior to physical therapy sessions, rather than waiting until the
pain level is high after their therapy. Correct Answer: B
A client with pneumonia has a decrease in oxygen saturation from 94% to 88% while
ambulating. Based on these findings, which intervention should the nurse implement first?
A. Assist the ambulating client back to the bed.
B. Encourage the client to ambulate to resolve pneumonia.
C. Obtain a prescription for portable oxygen while ambulating.
D. Move the oximetry probe from the finger to the earlobe
A+ TEST BANK 3
, ATI Fundamentals
- An oxygen saturation below 90% indicates inadequate oxygenation. First, the client
should be assisted to return to bed (A) to minimize oxygen demands. Ambulation increases
aeration of the lungs to prevent pooling of respiratory secretions, but the client's activity at
this time is depleting oxygen saturation of the blood, so (B) is contraindicated. Increased
activity increases respiratory effort, and oxygen may be necessary to continue ambulation (C),
but first the client should return to bed to rest. Oxygen saturation levels at different sites
should be evaluated after the client returns to bed (D).
Correct Answer: A
A client with chronic renal failure selects a scrambled egg for his breakfast. What action
should the nurse take?
A. Commend the client for selecting a high biologic value protein.
B. Remind the client that protein in the diet should be avoided.
C. Suggest that the client also select orange juice, to promote absorption. D. Encourage the
client to attend classes on dietary management of CRF.
- Foods such as eggs and milk (A) are high biologic proteins which are allowed because
they are complete proteins and supply the essential amino acids that are necessary for
growth and cell repair. Although a low-protein diet is followed (B), some protein is essential.
Orange juice is rich in potassium, and should not be encouraged (C). The client has made a
good diet choice, so (D) is not necessary. Correct Answer: A
A client who is 5' 5" tall and weighs 200 pounds is scheduled for surgery the next day. What
question is most important for the nurse to include during the preoperative assessment?
A. What is your daily calorie consumption?
B. What vitamin and mineral supplements do you take?
C. Do you feel that you are overweight? D. Will a clear liquid diet be okay after surgery?
A+ TEST BANK 4
